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The muscle shortening maneuver in individuals with stroke: a consideration-of-concept randomized pilot trial
CONCLUSIONS: The MSM seems able to modulate the TSRTs in individuals with stroke. Although with the limitations due to the pilot design, the variation in participants' responses appear to be promising. Many methodological issues have to be clarified and specified conceiving the progression toward a confirmatory trial.PMID:36398746 | DOI:10.1080/10749357.2022.2145741
Source: Topics in Stroke Rehabilitation - November 18, 2022 Category: Neurology Authors: Diego Longo Guido Santini Giulio Cherubini Daniela Melchiorre Francesco Ferrarello Maria Angela Bagni Source Type: research

Acupuncture for Post-stroke Shoulder-Hand Syndrome: A Systematic Review and Meta-Analysis
Conclusions: Acupuncture therapy seems effective for motor function, pain relief and activities of daily living in stroke patients with mild SHS, when it is used in combination with rehabilitation. The low certainty of evidence downgrades our confidence in making recommendations to clinical practice. Introduction Shoulder-hand syndrome (SHS) is a common condition among people who have had a stroke, with its reported prevalence ranging from 12% to 49% (1, 2). The main symptoms of SHS include pain, hyperalgesia, joint swelling and limitations in range of motion (ROM) (3). Post-stroke SHS is also named type I complex ...
Source: Frontiers in Neurology - April 25, 2019 Category: Neurology Source Type: research

The cardiac autonomic nervous system response to different daily demands among patients at the sub-acute phase post ischemic stroke and healthy controls.
CONCLUSION: Patients post-stroke experience hyper sympathetic function at rest and less adaptive cardiac autonomic control during different activities, which all may have an impact on rehabilitation outcomes. PMID: 29660948 [PubMed - as supplied by publisher]
Source: NeuroRehabilitation - April 19, 2018 Category: Rehabilitation Tags: NeuroRehabilitation Source Type: research

Effects of repetitive transcranial magnetic stimulation on lower extremity spasticity and motor function in stroke patients.
CONCLUSION: Low-frequency rTMS over the LE motor area can improve clinical measures of muscle spasticity and motor function. More studies are needed to clarify the changes underlying this improvement in spasticity. Implications for Rehabilitation Spasticity is a common disorder and one of the causes of long-term disability after stroke. Physical therapy modalities, oral medications, focal intervention and surgical procedures have been used for spasticity reduction. Beneficial effect of the repetitive transcranial magnetic stimulation (rTMS) for post-stroke upper extremity spasticity reduction and motor function improvement...
Source: Disability and Rehabilitation - February 15, 2016 Category: Rehabilitation Authors: Rastgoo M, Naghdi S, Nakhostin Ansari N, Olyaei G, Jalaei S, Forogh B, Najari H Tags: Disabil Rehabil Source Type: research

Effect of myofeedback on the threshold of the stretch reflex response of post-stroke spastic patients.
Conclusion The myofeedback training provided a significant contribution to conventional treatment, allowing for a better improvement of the spastic condition. Implications for rehabilitation Biofeedback is an effective means of improving motor control of post-stroke spastic patients. The Tonic Stretch Reflex Threshold is a more sensitive quantitative measure to assess upper-limb post-stroke spasticity. Spastic patients who participate in myofeedback training along with physical therapy can improve faster then those who participate only in traditional physical therapy rehabilitation protocols. PMID: 26939989 [PubMed - ...
Source: Disability and Rehabilitation - March 4, 2016 Category: Rehabilitation Authors: Vieira D, Silva MB, Melo MC, Soares AB Tags: Disabil Rehabil Source Type: research

Tonic Stretch Reflex Threshold as a Measure of Ankle Plantar-Flexor Spasticity After Stroke.
CONCLUSION: TSRT inter-evaluator reliability was very good for evaluating stroke-related plantarflexor spasticity. TSRT is a reliable measure of spasticity. More information may be gained by combining TSRT measurement with a measure of velocity-dependent resistance. PMID: 26450971 [PubMed - as supplied by publisher]
Source: Physical Therapy - October 8, 2015 Category: Physiotherapy Authors: Blanchette AK, Mullick AA, Moïn-Darbari K, Levin MF Tags: Phys Ther Source Type: research

Mobility Function and Recovery After Stroke: Preliminary Insights From Sympathetic Nervous System Activity.
CONCLUSIONS: SNS activity measured by skin conductance is a feasible approach for quantifying task-related differences in the perceived challenge of walking tasks in people poststroke. Furthermore, reduced SNS activity during walking following a rehabilitation intervention suggests a beneficial reduction in the physiological stress response evoked by complex walking tasks.Video Abstract available for more insights from the authors (See Video, Supplemental Digital Content 1, http://links.lww.com/JNPT/A234). PMID: 30138228 [PubMed - as supplied by publisher]
Source: Physical Therapy - August 22, 2018 Category: Physiotherapy Authors: Chatterjee SA, Daly JJ, Porges EC, Fox EJ, Rose DK, McGuirk TE, Otzel DM, Butera KA, Clark DJ Tags: J Neurol Phys Ther Source Type: research

Post-stroke Spasticity: A Review of Epidemiology, Pathophysiology, and Treatments
Publication date: Available online 19 June 2018 Source:International Journal of Gerontology Author(s): Chih-Lin Kuo, Gwo-Chi Hu Spasticity is a common condition in stroke survivors, and may be associated with pain and joint contracture, leading to poor quality of life and increased caregiver burden. Although the underlying mechanisms are not well-understood, it may be due to disruption of the balance of supra-spinal inhibitory and excitatory sensory inputs directed to the spinal cord, leading to a state of disinhibition of the stretch reflex. The treatment options include physical therapy, modality and pharmacological tre...
Source: International Journal of Gerontology - June 28, 2018 Category: Geriatrics Source Type: research

Commentary on: "Mobility Function and Recovery After Stroke: Preliminary Insights From Sympathetic Nervous System Activity".
PMID: 30138229 [PubMed - as supplied by publisher]
Source: Physical Therapy - August 22, 2018 Category: Physiotherapy Authors: Delbaere K, Hadjistavropoulos T Tags: J Neurol Phys Ther Source Type: research

Mobility Function and Recovery After Stroke: Preliminary Insights From Sympathetic Nervous System Activity
Conclusions: SNS activity measured by skin conductance is a feasible approach for quantifying task-related differences in the perceived challenge of walking tasks in people poststroke. Furthermore, reduced SNS activity during walking following a rehabilitation intervention suggests a beneficial reduction in the physiological stress response evoked by complex walking tasks. Video Abstract available for more insights from the authors (See Video, Supplemental Digital Content 1, http://links.lww.com/JNPT/A234).
Source: Journal of Neurologic Physical Therapy - October 1, 2018 Category: Physiotherapy Tags: Research Articles Source Type: research

Acute Vestibular Syndrome
This article provides a practical approach to acute vestibular syndrome while highlighting recent research advances. RECENT FINDINGS Acute vestibular syndrome is defined as sudden-onset, continuous vertigo lasting longer than 24 hours with associated nausea and vomiting, all of which are worsened with head movement. Acute vestibular syndrome is provoked by a variety of central and peripheral causes, the most common of which are vestibular neuritis and acute stroke (posterior circulation). A clinical approach focusing on timing, associated history, and ocular motor findings can improve diagnostic accuracy and is more...
Source: CONTINUUM: Lifelong Learning in Neurology - April 1, 2021 Category: Neurology Tags: REVIEW ARTICLES Source Type: research

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